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2 Gy (range 3.4-9.2) and 7.5 Gy (range 4.5-11.5), respectively. Tumor control was achieved in all patients. The median tumor volume and maximal diameter at last follow-up were 0.4 cm3 (range 0.1-2.3) and 11.4 mm (range 4.7-19.5), respectively. The median volume reduction rate was 52% (range 33-88). Six patients showed downgrading of modified Knosp grade after GKRS. No patients developed GKRS-related complications such as hypopituitarism or visual disturbance. SRS may be an alternative primary treatment option for CS-invading NFPA if there